California DWC
Jun 24, 2024
acūrrō Reprocesses Underpaid CA Bills
Sometimes, seeking correct reimbursement for treating injured workers doesn’t require a battle between providers and payers. Claims administrators and their vendors ca...
Jun 19, 2024
CA MPNs Harm Employers, Injured Workers & Providers
California’s Medical Provider Network (MPN) system is an unmitigated failure, causing genuine harm to injured workers, health care providers, and employers. The Divisi...
Jun 17, 2024
CA DWC: Claims Administrators' IBR Wingman
In California, claims administrators can expect little or no repercussions for failing to comply with workers’ comp payment laws and regulations. Meanwhile, the Divisi...
Jun 14, 2024
Sedgwick: 17,225 Audit Complaints Sent to DWC
Sedgwick Claims Management, Inc. continues to defy California law and regulations for properly responding to Second Review appeals. And why wouldn’t they, without any consequ...
Jun 10, 2024
Sedgwick Denies/Ignores Hundreds of Appeals
Sedgwick's persistent failure to pay providers in accordance with state workers' comp fee schedules and its refusal to respond compliantly to providers’ appeals are glaring v...
May 30, 2024
daisyData: CA e-EOR Most / Least Compliant Claims Admins
California mandates that all (repeat: all) workers’ comp claims administrators accept electronic bills from providers and respond to those e-bills with electronic Explanation...
May 16, 2024
CA DWC Website Deletions Enrich Claims Administrators
Given the complexity of workers’ comp (and the myriad ways claims administrators improperly deny requests for treatment and payment), knowledge is a precious resource for pro...
May 10, 2024
daisyBill Sends 13K+ Sedgwick Violations to CA DWC Director
Sedgwick’s consistent refusal to comply with California workers’ comp laws and regulations shows no signs of abating—in fact, it’s getting worse.Having been instructed...
May 9, 2024
CA DWC Deletes Med-Legal FAQ From Website
California’s Division of Workers’ Compensation (DWC) is supposed to have a critical role in enforcing state laws and regulations. Just as critically, the DWC has a duty to
Apr 9, 2024
DWC Proposes Cutting Physician Dispensing Fees
In February, California’s Division of Workers’ Compensation (DWC) proposed changes to the Official Medical Fee Schedule (OMFS) for workers’ comp.While there are a slew...
Apr 3, 2024
CA: 2024 Physician Fee Schedule 2.75% Increase Explained
Have trouble keeping up with California’s multiple fee schedule updates this year? It’s not just you. As reported earlier this week, effective for all dates of service...
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Mar 28, 2024
WCIRB: By Insurers, For Insurers
The Workers’ Compensation Insurance Ratings Bureau (WCIRB) is one of the most influential organizations guiding the decisions of legislators, regulators, and other stakeholde...